Individual
MINDY SULLIVAN-LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
818 SE ALICES RD, WAUKEE, IA 50263-9610
(515) 216-2999
Mailing address
170 CORENE AVE, WAUKEE, IA 50263-9791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
087868
IA
Other
Enumeration date
06/29/2017
Last updated
07/20/2023
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